Provider Demographics
NPI:1508441858
Name:VAN ALSTYNE, TIMOTHY ASHISH (CSW)
Entity Type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:ASHISH
Last Name:VAN ALSTYNE
Suffix:
Gender:M
Credentials:CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2741 AUDUBON ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70125-3501
Mailing Address - Country:US
Mailing Address - Phone:312-320-3036
Mailing Address - Fax:
Practice Address - Street 1:4035 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70125-2935
Practice Address - Country:US
Practice Address - Phone:504-358-5408
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-17
Last Update Date:2021-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator